| The Medicare Project a consumer's guide to Utah Medicare programs, Medicare Part D Prescription Drug Reimbursement and Coverage topics: Medicare Prescription Drug Help, Medicare coverage, Medicare Advantage prescription drug programs, supplement insurance, what is Medicare? help |
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| Medicare Utah help & articles | Who Offers Utah Medicare Prescription Drug Plans? | The Medicare Project (Home) | Utah MEDICAID help |
Utah Medicare, Utah Medicare Prescription Drug Coverage
Answers and information about Medicare, prescription drug coverage and health insurance
involves searching through hundreds of pages at government and private websites. To help seniors and caregivers get
started in their search, our editors have compiled this digest of Utah Medicare help and information
resources. |
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Medicare Web Page: Enrollment Assistance for Medicare Part D source:Salt Lake County Aging Services languages: English from the web page: "...Did you know if you? 1. are newly eligible for Medicare; 2. have Medicare and make less than $1,225/individual or $1,650/couple; 3. recently qualified for a Medicare Savings Program or Medicaid ; you can still enroll in the Medicare Part D drug benefit and you can call Salt Lake County Aging Services for enrollment assistance in Medicare Part D through the end of the year...." UTAH 2006/2007 Medicare Supplement (Medigap) Insurance Premium Information source: Utah Insurance Department, Office of Consumer HEALTH Assistance languages: English "Provider Listing ..." 10 Things You Should Know About Buying A Medigap Policy source:Utah Insurance Department languages: English from the web page: ...This alert was produced by the National Association of Insurance Commissioners... " more from Utah Insurance Department: Medicare Web Page: Buying a Medigap Policy languages: English from the web page: "What are my Medigap policy choices?..." Medicare B source: State of Utah, Department of Human Services, Division of Aging and Adult Services languages: English from the web page: "...General Information Included on this Web Page: Eligibility, Enrollment, Definitions, Beneficiary Costs, Benefits, Quality of Care, Waiver of Liability ..." more from State of Utah, Department of Human Services, Division of Aging and Adult Services: Medicare Web Page: Medicare A languages: English from the publication: "General Information Included on this Web Page - Eligibility, Enrollment, Definitions, Benefits, Prospective Payment System (PPS), Quality of Care, Waiver of Liability..." Medicare brochure or publication: Utah Medicare Resource Contacts Utah Area Agencies on Aging 1 page; languages: English from the publication: "Utah Medicare Resource Contacts..." Utah Medicare Drug Plan Ratings source:AARP file size:5 pg. languages: English "...This AARP rating tool contains information about “stand-alone” Medicare plans in your state that cover only prescription drugs...." Utah: Medicare Hospital Payments source:Kaiser Family Foundation / statehealthfacts.org languages: English Range of Medicare Payments (Low-25th Percentile/High-75th Percentile) for Top Five Elective Inpatient Hospital Procedures, FY2005 What Medicare Covers & How Much You Will Pay source:Medicare Rights Center languages: English Charts of premiums, deductables, and other information for medicare coverage under Part A, Part B, and Part D Your Medicare Rights and Protections source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services 44pp languages: English Fairly detailed explanations and descriptions about your Medicare rights and protections. Medicaid brochure or publication: A Consumer's Guide to Getting and Keeping Health Insurance in Utah source:healthinsuranceinfo.net file size: 43pg. languages: English from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. from the publication: "...As a Utah resident, you have rights under federal and state law that will protect you when you seek to buy, keep, or switch your health insurance, even if you have a serious health condition. This guide describes your protections as a Utah resident..." State Pharmacy Listing - Aetna Medicare RxSM Plans - Idaho / Utah Aetna Medicare Your Medicare Rights and Protections source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services 44pp languages: English Fairly detailed explanations and descriptions about your Medicare rights and protections. Medicare & You 2007 (Utah specific version) source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services 152pp languages: English and Spanish from www.medicare.gov: "Medicare & You 2007... contains important information about what’s new, health plans, prescription drug plans, and rights and protections to help people with Medicare review their coverage options and prepare to enroll in a new plan if they choose. These files are ... the printed version that people with Medicare will get in the mail this fall. Plan information contained in each book may change after printing." Lanscape: 2007 Utah Stand-Alone Prescription Drug Plans source:CENTERS FOR MEDICARE & MEDICAID SERVICES, U.S. Department of Health and Human Services file size:3 pg. languages: English date:2007 Utah 2007 Medicare Part D Stand-Alone Prescription Drug Plans. Data as of September 12, 2006. Includes all contracts/plans regardless of 2007 approval status. Employer sponsored plans (800 series) are excluded." Medicare brochure or publication: Landscape: Utah Medicare Advantage, Cost Plans, and Demonstrations source:CENTERS FOR MEDICARE & MEDICAID SERVICES file size:13 pg. languages: English "Utah 2007 Medicare Advantage, Cost, and Demonstration Plans. Data as of September 29, 2006. Includes all contracts/plans regardless of 2007 approval status. PACE, Special Needs Plans, and Employer sponsored plans (800 series) are excluded." |
| 44 Prescription Drug Plans in Utah This list is to familiarize you with Medicare Prescription Plans available in your state, and to provide you with contact information to specific carriers. Check with the insurance provider or medicare.gov for information about coverage options, annual deductibles, approved drugs, and other limitations. Do NOT use this web page as the basis for any decision or action. (All data is subject to change. Check with medicare.gov or the insurance provider for latest data.) | ||||||
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| Plan Name and ID Numbers |
Company (w. link to plan web site) |
Coverage in the Gap About the gap |
Contact Service Phones |
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| AARP MedicareRx Plan (S5820-030) |
UnitedHealthcare | No gap coverage | Non-Members 1-888-867-5564 TTY Users should call: 1-877-730-4192 Members 1-888-867-5575 TTY Users should call: 1-888-867-5575 |
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| Advantage Freedom Plan (S5644-063) |
RxAmerica | No gap coverage | Non-Members 1-877-279-0370 Members 1-800-429-6686 TTY Users should call: 1-800-429-6686 |
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| Advantage Star Plan (S5644-087) |
RxAmerica | No gap coverage | Non-Members 1-877-279-0370 Members 1-800-429-6686 TTY Users should call: 1-800-429-6686 |
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| AdvantraRx Premier (S5674-051) |
Coventry AdvantraRx | No gap coverage | Non-Members 1-800-882-3822 TTY Users should call: 1-800-508-9548 Members 1-866-823-5178 TTY Users should call: 1-866-823-5178 |
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| AdvantraRx Premier Plus (S5674-053) |
Coventry AdvantraRx | No gap coverage | Non-Members 1-800-882-3822 TTY Users should call: 1-800-508-9548 Members 1-866-823-5178 TTY Users should call: 1-866-823-5178 |
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| AdvantraRx Value (S5674-050) |
Coventry AdvantraRx | No gap coverage | Non-Members 1-800-882-3822 TTY Users should call: 1-800-508-9548 Members 1-866-823-5178 TTY Users should call: 1-866-823-5178 |
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| Aetna Medicare Rx Essentials (S5810-065) |
Aetna Medicare | No gap coverage | Non-Members 1-800-445-1796 TTY Users should call: 1-800-628-3323 Members 1-877-238-6211 TTY Users should call: 1-877-238-6211 |
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| Aetna Medicare Rx Plus (S5810-167) |
Aetna Medicare | Generic Only | Non-Members 1-800-445-1796 TTY Users should call: 1-800-628-3323 Members 1-877-238-6211 TTY Users should call: 1-877-238-6211 |
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| Aetna Medicare Rx Premier (S5810-201) |
Aetna Medicare | Generic Only | Non-Members 1-800-445-1796 TTY Users should call: 1-800-628-3323 Members 1-877-238-6211 TTY Users should call: 1-877-238-6211 |
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| CIGNATURE Rx Complete Plan (S5617-201) |
CIGNA HealthCare | Generic Only | Non-Members 1-800-735-1459 Members 1-800-222-6700 TTY Users should call: 1-800-222-6700 |
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| CIGNATURE Rx Plus Plan (S5617-155) |
CIGNA HealthCare | No gap coverage | Non-Members 1-800-735-1459 Members 1-800-222-6700 TTY Users should call: 1-800-222-6700 |
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| CIGNATURE Rx Value Plan (S5617-153) |
CIGNA HealthCare | No gap coverage | Non-Members 1-800-735-1459 Members 1-800-222-6700 TTY Users should call: 1-800-222-6700 |
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| Community Care Rx BASIC (S5803-100) |
MEMBERHEALTH | No gap coverage | Non-Members 1-866-684-5353 TTY Users should call: 1-866-684-5351 Members 1-866-684-5353 TTY Users should call: 1-518-449-6800 |
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| Community Care Rx CHOICE (S5803-168) |
MEMBERHEALTH | No gap coverage | Non-Members 1-866-684-5353 TTY Users should call: 1-866-684-5351 Members 1-866-684-5353 TTY Users should call: 1-518-449-6800 |
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| Community Care Rx GOLD (S5803-134) |
MEMBERHEALTH | No gap coverage | Non-Members 1-866-684-5353 TTY Users should call: 1-866-684-5351 Members 1-866-684-5353 TTY Users should call: 1-518-449-6800 |
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| EMIA Standard (S5877-002) |
Educators Mutual Insurance Association | No gap coverage | Non-Members 1-800-662-5851 Members 1-800-316-9176 TTY Users should call: 1-800-316-9176 |
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| Humana PDP Complete S5884-059 (S5884-059) |
Humana Insurance Company | Generic and Brand | Non-Members 1-800-706-0872 TTY Users should call: 1-877-833-4486 Members 1-800-281-6918 TTY Users should call: 1-800-281-6918 |
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| Humana PDP Enhanced S5884-029 (S5884-029) |
Humana Insurance Company | No gap coverage | Non-Members 1-800-706-0872 TTY Users should call: 1-877-833-4486 Members 1-800-281-6918 TTY Users should call: 1-800-281-6918 |
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| Humana PDP Standard S5884-089 (S5884-089) |
Humana Insurance Company | No gap coverage | Non-Members 1-800-706-0872 TTY Users should call: 1-877-833-4486 Members 1-800-281-6918 TTY Users should call: 1-800-281-6918 |
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| MedicareRx Rewards (S5960-031) |
Unicare | No gap coverage | Non-Members 1-866-892-5335 Members 1-800-928-6201 TTY Users should call: 1-800-928-6201 |
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| MedicareRx Rewards Plus (S5960-067) |
Unicare | No gap coverage | Non-Members 1-866-892-5335 Members 1-800-928-6201 TTY Users should call: 1-800-928-6201 |
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| MedicareRx Rewards Premier (S5960-101) |
Unicare | Generic Only | Non-Members 1-866-892-5335 Members 1-800-928-6201 TTY Users should call: 1-800-928-6201 |
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| PacifiCare Comprehensive Plan (S5921-033) |
UnitedHealthcare | Generic Only | Non-Members 1-800-943-0399 Members 1-800-797-9794 TTY Users should call: 1-714-825-3600 |
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| PacifiCare Saver Plan (S5921-032) |
UnitedHealthcare | No gap coverage | Non-Members 1-800-943-0399 Members 1-800-797-9794 TTY Users should call: 1-714-825-3600 |
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| PacifiCare Select Plan (S5921-031) |
UnitedHealthcare | No gap coverage | Non-Members 1-800-943-0399 Members 1-800-797-9794 TTY Users should call: 1-714-825-3600 |
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| Plan II (S5877-004) |
Educators Mutual Insurance Association | No gap coverage | Non-Members 1-800-662-5851 Members 1-800-316-9176 TTY Users should call: 1-800-316-9176 |
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| Plan III (S5877-007) |
Educators Mutual Insurance Association | No gap coverage | Non-Members 1-800-662-5851 Members 1-800-316-9176 TTY Users should call: 1-800-316-9176 |
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| Prescription Pathway Bronze Plan Reg 31 (S5597-096) |
Pennsylvania Life Insurance Company | No gap coverage | Non-Members 1-800-765-8900 TTY Users should call: 1-866-222-3904 Members 1-800-698-8394 TTY Users should call: 1-850-432-1700 |
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| Prescription Pathway Gold Plan Reg 31 (S5581-045) |
Marquette National Life Insurance Company | No gap coverage | Non-Members 1-800-845-2551 TTY Users should call: 1-866-222-3904 Members 1-800-698-8395 TTY Users should call: 1-800-698-8395 |
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| Prescription Pathway Gold Plan Reg 31 (S5597-063) |
Pennsylvania Life Insurance Company | No gap coverage | Non-Members -800-765-8900 TTY Users should call: 1-866-222-3904 Members 1-800-698-8394 TTY Users should call: 1-850-432-1700 |
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| Prescription Pathway Platinum Plan Reg 31 (S5581-069) |
Marquette National Life Insurance Company | No gap coverage | Non-Members 1-800-845-2551 TTY Users should call: 1-866-222-3904 Members 1-800-698-8395 TTY Users should call: 1-800-698-8395 |
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| Prescription Pathway Silver Plan Reg 31 (S5581-141) |
Marquette National Life Insurance Company | No gap coverage | Non-Members 1-800-845-2551 TTY Users should call: 1-866-222-3904 Members 1-800-698-8395 TTY Users should call: 1-800-698-8395 |
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| Prescription Pathway Silver Plan Reg31 (S5597-195) |
Pennsylvania Life Insurance Company | No gap coverage | Non-Members 1-800-765-8900 TTY Users should call: 1-866-222-3904 Members 1-800-698-8394 TTY Users should call: 1-850-432-1700 |
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| Regence Life and Health Medicare Script (S5916-001) |
Regence Life and Health | No gap coverage | Non-Members 1-888-734-3623 TTY Users should call: 1-800-382-1003 Members 1-800-541-8981 TTY Users should call: 1-800-541-8981 |
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| SierraRx (S5917-007) |
SierraRx | No gap coverage | Non-Members 1-866-789-0565 TTY Users should call: 1-866-789-0572 Members 1-866-789-1522 TTY Users should call: 1-866-789-1522 |
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| SilverScript (S5601-062) |
SilverScript Insurance Company | No gap coverage | Non-Members 1-866-552-6106 TTY Users should call: 1-866-552-6288 Members 1-866-235-5660 TTY Users should call: 1-866-235-5660 |
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| SilverScript Plus (S5601-063) |
SilverScript Insurance Company | No gap coverage | Non-Members 1-866-235-4582 TTY Users should call: 1-866-552-6288 Members 1-866-235-5660 TTY Users should call: 1-866-235-5660 |
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| Sterling Prescription Drug Plan (S4802-021) |
Sterling Life Insurance Company | No gap coverage | Non-Members 1-888-909-1713 TTY Users should call: 1-888-858-8567 Members 1-866-865-0664 TTY Users should call: 1-866-865-0664 |
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| UA Medicare Part D Prescription Drug Cov (S5755-034) |
United American Insurance Company | No gap coverage | Non-Members 1-866-524-4169 TTY Users should call: 1-866-524-4170 Members 1-866-524-4169 TTY Users should call: 1-866-524-4169 |
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| United Medicare MedAdvance (S5820-134) |
UnitedHealthcare | No gap coverage | Non-Members 1-888-556-6657 TTY Users should call: 1-888-556-7065 Members 1-888-556-7047 TTY Users should call: 1-888-556-7047 |
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| WellCare Complete (S5967-100) |
WellCare | No gap coverage | Non-Members 1-888-423-5252 Members 1-888-550-5252 TTY Users should call: 1-888-550-5252 |
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| WellCare Premier (S5967-134) |
WellCare | No gap coverage | Non-Members 1-888-423-5252 Members 1-888-550-5252 TTY Users should call: 1-888-550-5252 |
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| WellCare Signature (S5967-065) |
WellCare | No gap coverage | Non-Members 1-888-423-5252 Members 1-888-550-5252 TTY Users should call: 1-888-550-5252 |
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| YOURx PLAN (S5660-031) |
Medco YOURx PLAN | No gap coverage | Non-Members 1-800-758-3605 TTY Users should call: 1-800-716-3231 Members 1-800-758-4574 TTY Users should call: 1-800-758-4574 |
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| 2 Medicare Special Needs Plans in Utah This list is to familiarize you with Medicare Special Needs Plans available in your state, and to provide you with contact information to specific carriers. Check with the insurance provider or medicare.gov for information about coverage options, annual deductibles, approved drugs, and other limitations. Do NOT use this web page as the basis for any decision or action. (All data is subject to change. Check with medicare.gov or the insurance provider for latest data.) | ||||||
|---|---|---|---|---|---|---|
| Molina Advantage (H5628-001-0) |
Molina Healthcare of Utah | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-888-665-1328 TTY Users should call: 1-800-346-4128 ext: 711 Members 1-888-665-1328 TTY Users should call: 1-800-346-4128 ext: 711 |
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| UnitedHealthcare Medicare Complete Plus Rx (H4604-006-0) |
SecureHorizons | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-800-691-0008 TTY Users should call: 1-888-685-8480 1-800-853-3084 TTY Users should call: 1-888-685-8480 |
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